Active NPI
David L. Streisfeld, M.D., P.C.
- Ophthalmology Physician
- Lebanon, PA
National Provider Identifier
1356526966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD035567E
- Legal business name
- DAVID L. STREISFELD, M.D., P.C.
- Practice address
- 834 Norman Dr
Lebanon, PA 17042-7444 - Phone
- (717) 272-6000
- Fax
- (717) 272-6118
- NPI assigned
- Jan 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacquelyn Frazier
- Title
- Billing Supervisor
- Phone
- (717) 838-6462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD035567E | PA | Primary |
Addresses
Primary practice location
834 Norman Dr
Lebanon, PA 17042-7444
Mailing address
834 Norman Dr
Lebanon, PA 17042-7444
Phone (717) 272-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010589720002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
834 Norman Dr
Lebanon, PA 17042
Phone (717) 272-6000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Lebanon, PA
- NPI 1366435174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1356526966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 NORMAN DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427444",
"telephone_number": "717-272-6000",
"fax_number": "717-272-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 NORMAN DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427444",
"telephone_number": "717-272-6000",
"fax_number": "717-272-6118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID L. STREISFELD, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "FRAZIER",
"authorized_official_first_name": "JACQUELYN",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "717-838-6462"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD035567E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010589720002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.